Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $654.05	Facility		$233.36	$233.36	$654.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $233.36 / $240.36	Professional		$109.07	$233.36	$240.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Professional		$239.86	$239.86	$239.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.68 / $256.42 / $486.86	Facility		$213.68	$256.42	$486.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.89 / $199.88 / $213.21	Professional		$179.89	$199.88	$213.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $175.81 / $175.81	Facility		$164.86	$175.81	$175.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $351.75	Professional		$128.34	$175.81	$351.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $233.36 / $313.48	Facility		$85.84	$233.36	$313.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $187.00	Professional		$150.00	$150.00	$187.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $319.80 / $491.70	Professional		$319.80	$319.80	$491.70
United Facility/Professional Professional Modifier Low / Median / High Price $102.15 / $132.96 / $200.28	Professional		$102.15	$132.96	$200.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $454.47 / $1,687.87 / $1,687.87	Facility		$454.47	$1,687.87	$1,687.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,897.25 / $1,897.25 / $1,998.83	Professional		$1,897.25	$1,897.25	$1,998.83